Grants to States for Medicaid (93.778)
Grants to States for Medicaid (Assistance Listing 93.778) is run by the Centers for Medicare and Medicaid Services, part of the Department of Health and Human Services. It awarded $3.0 trillion in 1,066 grants from fiscal 2021 to 2025, about $2.8 billion per award on average. No funding opportunity is open on Grants.gov right now.
The typical award was $65.5 million. Half of the 1,066 awards fell between $1.6 million and $945 million, and they ranged from $9 to $104 billion.
- Awarded, FY 2021 to 2025$3.0 trillion
- Grant awards1,066
- Typical award$65.5 million
- Awarded in FY 2025$666 billion
- Size rank1 of 1824
- Type of assistanceFormula grants
Key findings
- Annual funding rose from $516 billion in fiscal 2021 to $666 billion in fiscal 2025.
- It is the 1st largest of 1,824 federal grant programs by five-year awards.
- The 20 largest recipients received 76% of the money.
- Awards went to recipients in 56 states and territories.
What the program funds
To provide financial assistance to States for payments of medical assistance on behalf of cash assistance recipients, children, pregnant women, and the aged who meet income and resource requirements, and other categorically-eligible groups. In certain States that elect to provide such coverage, medically-needy persons, who, except for income and resources, would be eligible for cash assistance, may be eligible for medical assistance payments under this program. Financial assistance is provided to States to pay for Medicare premiums, copayments and deductibles of qualified Medicare beneficiaries meeting certain income requirements. More limited financial assistance is available for certain Medicare beneficiaries with higher incomes.
Open opportunities
No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.
Rules from the program listing
Who can apply
State and local welfare agencies must operate under an HHS-approved Medicaid State Plan and comply with all Federal regulations governing aid and medical assistance to the needy.
What the money can and cannot pay for
For the categorically needy, States must provide in and out-patient hospital services; rural health clinic services; federally-qualified health center services; other laboratory and x-ray services; nursing facility services, home health services for persons over age 21; family planning services; physicians' services; early and periodic screening, diagnosis, and treatment for individuals under age 21; pediatric or family nurse practitioner services; and services furnished by a nurse-midwife as licensed by the States. For the medically needy, States are required to provide a minimum mix of services for which Federal financial participation is available (see section 1902(a)(10)(C)(iv) of the Social Security Act).
Matching requirements
This program has no statutory formula. Matching requirements are not applicable to this assistance listing. This program has MOE requirements, see funding agency for further details. Other Federal funds are available to match State expenditures for medical care. Under the Act, the Federal share for medical services may range from 50 percent to 83 percent. The statistical factors used for fund allocation are: (1) Medical assistance expenditures by State; and (2) per capita income by State based on a 3-year average (source, "Personal Income," Department of Commerce, Bureau of Economic Analysis). Statistical factors for eligibility do not apply to this program. This program has maintenance of effort (MOE) requirements, see funding agency for further details. Matching requirements are voluntary. This program has MOE requirements, see funding agency for further details. Additional Information.
Deadlines
Deadlines do not apply An individual needing medical assistance may apply to the State at any time. States must submit quarterly estimates of funds needed no later than August 8, November 15, February 15, and May 15, in order to receive a timely quarterly grant award for the following quarter.
Award range and average, in the agency's words
$18,426,000 TO $59,200,006,000. Average assistance is $7,638,304,000
Funding history and past recipients
From fiscal 2021 to 2025, Grants to States for Medicaid (93.778) awarded$3.0 trillion across 1,066 grant awards, an average of $2.8 billion per award.
Who usually wins
Almost all of the money went to state and local governments.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| State and local governments | 1,058 | $3.0 trillion | 100% |
| Nonprofits | 6 | $1.7 million | 0% |
| Other | 1 | $340,000 | 0% |
| Colleges and universities | 1 | $178,185 | 0% |
By state
Each state below has its own page for this program, with its recipients and yearly totals.
| State | Awards | Amount |
|---|---|---|
| California | 28 | $451 billion |
| New York | 24 | $274 billion |
| Texas | 24 | $172 billion |
| Pennsylvania | 26 | $138 billion |
| Ohio | 16 | $121 billion |
| Florida | 17 | $108 billion |
| Illinois | 20 | $96 billion |
| North Carolina | 18 | $90 billion |
| Michigan | 19 | $88 billion |
| Arizona | 18 | $82 billion |
| New Jersey | 16 | $73 billion |
| Massachusetts | 16 | $73 billion |
| Kentucky | 17 | $69 billion |
| Indiana | 17 | $68 billion |
| Virginia | 18 | $68 billion |
| Washington | 18 | $66 billion |
| Louisiana | 16 | $64 billion |
| Missouri | 18 | $57 billion |
| Georgia | 20 | $56 billion |
| Oregon | 18 | $56 billion |
| Minnesota | 18 | $56 billion |
| Maryland | 19 | $52 billion |
| Tennessee | 18 | $48 billion |
| Colorado | 17 | $42 billion |
| Wisconsin | 19 | $41 billion |
| New Mexico | 17 | $36 billion |
| Arkansas | 16 | $34 billion |
| Connecticut | 19 | $33 billion |
| South Carolina | 18 | $33 billion |
| Oklahoma | 16 | $33 billion |
| Alabama | 17 | $30 billion |
| Iowa | 17 | $27 billion |
| Mississippi | 17 | $27 billion |
| Nevada | 16 | $23 billion |
| West Virginia | 17 | $22 billion |
| Utah | 19 | $17 billion |
| Kansas | 17 | $17 billion |
| Puerto Rico | 35 | $16 billion |
| District of Columbia | 18 | $16 billion |
| Maine | 17 | $15 billion |
| Idaho | 15 | $14 billion |
| Nebraska | 16 | $13 billion |
| Rhode Island | 17 | $12 billion |
| Delaware | 16 | $11 billion |
| Hawaii | 18 | $11 billion |
| Alaska | 16 | $10 billion |
| Montana | 19 | $9.6 billion |
| New Hampshire | 17 | $8.2 billion |
| Vermont | 16 | $7.0 billion |
| North Dakota | 16 | $5.2 billion |
| South Dakota | 16 | $4.9 billion |
| Wyoming | 14 | $2.3 billion |
| Guam | 30 | $773 million |
| American Samoa | 26 | $459 million |
| U.S. Virgin Islands | 29 | $437 million |
| Northern Mariana Islands | 33 | $388 million |